2
Musculoskeletal - FNP Certification Exam 4th || || || || || ||
ed. Winland-Brown and Dunphy Exam with
|| || || || || ||
accurate detailed solutions || ||
if any limitation or any increase in range of motion occurs when assessing the musculoskeletal
|| || || || || || || || || || || || || || ||
system, the angles of the bones should be measured by using:
|| || || || || || || || || ||
a. Phalen's test
|| ||
b. skeletometry
||
c. the Thomas test
|| || ||
d. a goniometer - ✔✔d. a goniometer
|| || || || || ||
J., age 16, comes into the office with a human bit on his fist. what is the first course of action?
|| || || || || || || || || || || || || || || || || || || ||
a. de-bride and irrigate the wound thoroughly
|| || || || || ||
b. initiate broad-spectrum antibiotics
|| || ||
c. leave the wound open for drainage
|| || || || || ||
d. administer a tetanus injection - ✔✔a. de-bride and irrigate the wound thoroughly
|| || || || || || || || || || || ||
S. age 49 presents with loss of anal spincter tone, impaired micturition, incontinence, and
|| || || || || || || || || || || || || ||
progressive loss of strength in the legs. you suspect cauda equina syndrome. what is your next
|| || || || || || || || || || || || || || || ||
action?
a. order physical therapy
|| || ||
b. order a lumbar/sacral x-ray
|| || || ||
c. order extensive lab work
|| || || ||
d. refer to a neurosurgeon - ✔✔d. refer to a neurosurgeon
|| || || || || || || || || ||
in assessing the skeletal muscles, you turn the forearm so that the palm is up. this is called:
|| || || || || || || || || || || || || || || || ||
a. supination
||
,2
b. pronation
||
c. abduction
||
d. eversion - ✔✔a. supination
|| || || ||
E. a 10 y/o boy, jumps off a 2 foot wall, twisting his foot and ankle upon landing. his ankle xpray
|| || || || || || || || || || || || || || || || || || || || ||
demonstrates a fx of the distal tibia over the articular surface into the epiphysis and physis. based || || || || || || || || || || || || || || || || ||
on the Salter-Harris classification for growth plate injuries you know this is a:
|| || || || || || || || || || || ||
a. Salter-Harris II
|| ||
b. Salter-Harris III
|| ||
c. Salter-Harris IV
|| ||
d. Salter-Harris V - ✔✔b. Salter-Harris III
|| || || || || ||
K. who is postmenopausal, is taking 1,500mg of calcium but does not understand why she also
|| || || || || || || || || || || || || || || ||
needs to take vitamin D. you tell her that:
|| || || || || || || ||
a. a deficiency of vitamin D results in an inadequate mineralization of bone matrix
|| || || || || || || || || || || || ||
b. all vitamins need to be supplemented
|| || || || || ||
c. vitamin D increases intestinal absorption of the dietary calcium and mobilizes calcium from the
|| || || || || || || || || || || || || || ||
bone
d. vitamin D binds with calcium to allow active transport into the cells - ✔✔c. vitamin D
|| || || || || || || || || || || || || || || || ||
increases intestinal absorption of the dietary calcium and mobilizes calcium from the bone
|| || || || || || || || || || || ||
the American College of Obstetricians and Gynecologists guidelines for exercise during
|| || || || || || || || || || ||
pregnancy and after delivery include which of the following? || || || || || || || ||
a. women should try to exercise moderately for at least 30 min on most, if not all, days of the
|| || || || || || || || || || || || || || || || || || || ||
week
b. exercise in the supine position is the position of choice
|| || || || || || || || || ||
c. anaerobic exercise during pregnancy is preferred over aerobic exercise
|| || || || || || || || ||
d. exercise should be discontinued upon discovery of pregnancy and be resumed after delivery -
|| || || || || || || || || || || || || || ||
✔✔a. women should try to exercise moderately for at least 30 min on most, if not all, days of the
|| || || || || || || || || || || || || || || || || || || ||
week
,2
colchicine may be used to terminate an acute attack of gouty arthritis, as well as to prevent
|| || || || || || || || || || || || || || || || ||
recurrent episodes. the mechanism of action is to: || || || || || || ||
a. interrupt the cycle of urate crystal deposition and inflammatory response
|| || || || || || || || || ||
b. increase serum uric acid levels
|| || || || ||
c. potentiate the excretion of uric acid
|| || || || || ||
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric acid - ✔✔a. interrupt
|| || || || || || || || || || || || || || || ||
the cycle of urate crystal deposition and inflammatory response
|| || || || || || || ||
L., age 52, who has just been given a dx of sarcoidoxis, has joint sxs including arthralgias and
|| || || || || || || || || || || || || || || || || ||
arthritis. your next plan of action would be to: || || || || || || || ||
a. order a bone scan
|| || || ||
b. obtain a tissue biopsy
|| || || ||
c. begin a course of glucocorticoids
|| || || || ||
d. obtain an electrocardiogram - ✔✔begin a course of glucocorticoids
|| || || || || || || || ||
G., age 26, runs marathons and frequently c/o painful contractions of his calf muscles after
|| || || || || || || || || || || || || || ||
running. you attribute this to: || || || ||
a. hypercalcemia
||
b. hyponatremia
||
c. heat exhaustion
|| ||
d. dehydration - ✔✔b. hyponatremia
|| || || ||
S., age 15, has only one testicle. when he asks you if he can play on the soccer team at school,
|| || || || || || || || || || || || || || || || || || || || ||
how do you respond?|| || ||
a. no, you'd be taking too much of a chance of injuring your remaining testicle
|| || || || || || || || || || || || || ||
b. you can play any noncontact sport; however, soccer is too strenuous
|| || || || || || || || || || ||
c. as long as you can protect the remaining testicle, go for it
|| || || || || || || || || || || ||
, 2
d. it should have no bearing on any activity - ✔✔c. as long as you can protect the remaining
|| || || || || || || || || || || || || || || || || || ||
testicle, go for it || || ||
there are many precursors of deep venous thrombosis (DVT), such as decreased blood flow,
|| || || || || || || || || || || || || ||
injury to the blood vessel wall, and altered blood coagulation. which clinical risk factor for DVT
|| || || || || || || || || || || || || || || ||
is the result of hypercoagulability?
|| || || ||
a. high estrogen states, such as with oral contraceptive
|| || || || || || || ||
b. trauma that results in orthopedic surgery
|| || || || || ||
c. an indwelling intravenous catheter of a lower extremity
|| || || || || || || ||
d. prolonged sedentary position related to immobility - ✔✔a. high estrogen states, such as with
|| || || || || || || || || || || || || || ||
oral contraceptive||
H., age 29 is a nurse who has an acute episode of back pain. you have determined that it is a
|| || || || || || || || || || || || || || || || || || || || ||
simple "mechanical" backache and order: || || || ||
a. bedrest for 2 days
|| || || ||
b. muscle relaxants
|| ||
c. let pain be your guide and continue activities
|| || || || || || || ||
d. back-strengthening exercises - ✔✔c. let pain be your guide and continue activities
|| || || || || || || || || || || ||
D. who is 45 and of norther european ancestry, has a dysfunctional disfiguring condition affecting
|| || || || || || || || || || || || || || ||
the palmar tissue between the skin and the distal palm and fourth and fifth fingers. what do you
|| || || || || || || || || || || || || || || || || ||
suspect?
a. Hallux valgus
|| ||
b. DeQuervain's tenosynovitis
|| ||
c. Dupuytren's contracture
|| ||
d. Hallux rigidus - ✔✔c. Dupuytren's contracture
|| || || || || ||
for your clt with a knee injury, you order an NSAID to be taken on a routine basis for the next 2
|| || || || || || || || || || || || || || || || || || || || || ||
wks. your teaching should include which of the following?
|| || || || || || || ||
a. you may take this medication on an empty stomach as long as you eat within 2-3 hrs of taking it
|| || || || || || || || || || || || || || || || || || || ||
Musculoskeletal - FNP Certification Exam 4th || || || || || ||
ed. Winland-Brown and Dunphy Exam with
|| || || || || ||
accurate detailed solutions || ||
if any limitation or any increase in range of motion occurs when assessing the musculoskeletal
|| || || || || || || || || || || || || || ||
system, the angles of the bones should be measured by using:
|| || || || || || || || || ||
a. Phalen's test
|| ||
b. skeletometry
||
c. the Thomas test
|| || ||
d. a goniometer - ✔✔d. a goniometer
|| || || || || ||
J., age 16, comes into the office with a human bit on his fist. what is the first course of action?
|| || || || || || || || || || || || || || || || || || || ||
a. de-bride and irrigate the wound thoroughly
|| || || || || ||
b. initiate broad-spectrum antibiotics
|| || ||
c. leave the wound open for drainage
|| || || || || ||
d. administer a tetanus injection - ✔✔a. de-bride and irrigate the wound thoroughly
|| || || || || || || || || || || ||
S. age 49 presents with loss of anal spincter tone, impaired micturition, incontinence, and
|| || || || || || || || || || || || || ||
progressive loss of strength in the legs. you suspect cauda equina syndrome. what is your next
|| || || || || || || || || || || || || || || ||
action?
a. order physical therapy
|| || ||
b. order a lumbar/sacral x-ray
|| || || ||
c. order extensive lab work
|| || || ||
d. refer to a neurosurgeon - ✔✔d. refer to a neurosurgeon
|| || || || || || || || || ||
in assessing the skeletal muscles, you turn the forearm so that the palm is up. this is called:
|| || || || || || || || || || || || || || || || ||
a. supination
||
,2
b. pronation
||
c. abduction
||
d. eversion - ✔✔a. supination
|| || || ||
E. a 10 y/o boy, jumps off a 2 foot wall, twisting his foot and ankle upon landing. his ankle xpray
|| || || || || || || || || || || || || || || || || || || || ||
demonstrates a fx of the distal tibia over the articular surface into the epiphysis and physis. based || || || || || || || || || || || || || || || || ||
on the Salter-Harris classification for growth plate injuries you know this is a:
|| || || || || || || || || || || ||
a. Salter-Harris II
|| ||
b. Salter-Harris III
|| ||
c. Salter-Harris IV
|| ||
d. Salter-Harris V - ✔✔b. Salter-Harris III
|| || || || || ||
K. who is postmenopausal, is taking 1,500mg of calcium but does not understand why she also
|| || || || || || || || || || || || || || || ||
needs to take vitamin D. you tell her that:
|| || || || || || || ||
a. a deficiency of vitamin D results in an inadequate mineralization of bone matrix
|| || || || || || || || || || || || ||
b. all vitamins need to be supplemented
|| || || || || ||
c. vitamin D increases intestinal absorption of the dietary calcium and mobilizes calcium from the
|| || || || || || || || || || || || || || ||
bone
d. vitamin D binds with calcium to allow active transport into the cells - ✔✔c. vitamin D
|| || || || || || || || || || || || || || || || ||
increases intestinal absorption of the dietary calcium and mobilizes calcium from the bone
|| || || || || || || || || || || ||
the American College of Obstetricians and Gynecologists guidelines for exercise during
|| || || || || || || || || || ||
pregnancy and after delivery include which of the following? || || || || || || || ||
a. women should try to exercise moderately for at least 30 min on most, if not all, days of the
|| || || || || || || || || || || || || || || || || || || ||
week
b. exercise in the supine position is the position of choice
|| || || || || || || || || ||
c. anaerobic exercise during pregnancy is preferred over aerobic exercise
|| || || || || || || || ||
d. exercise should be discontinued upon discovery of pregnancy and be resumed after delivery -
|| || || || || || || || || || || || || || ||
✔✔a. women should try to exercise moderately for at least 30 min on most, if not all, days of the
|| || || || || || || || || || || || || || || || || || || ||
week
,2
colchicine may be used to terminate an acute attack of gouty arthritis, as well as to prevent
|| || || || || || || || || || || || || || || || ||
recurrent episodes. the mechanism of action is to: || || || || || || ||
a. interrupt the cycle of urate crystal deposition and inflammatory response
|| || || || || || || || || ||
b. increase serum uric acid levels
|| || || || ||
c. potentiate the excretion of uric acid
|| || || || || ||
d. inhibit the tubular reabsorption of urate, promoting the excretion of uric acid - ✔✔a. interrupt
|| || || || || || || || || || || || || || || ||
the cycle of urate crystal deposition and inflammatory response
|| || || || || || || ||
L., age 52, who has just been given a dx of sarcoidoxis, has joint sxs including arthralgias and
|| || || || || || || || || || || || || || || || || ||
arthritis. your next plan of action would be to: || || || || || || || ||
a. order a bone scan
|| || || ||
b. obtain a tissue biopsy
|| || || ||
c. begin a course of glucocorticoids
|| || || || ||
d. obtain an electrocardiogram - ✔✔begin a course of glucocorticoids
|| || || || || || || || ||
G., age 26, runs marathons and frequently c/o painful contractions of his calf muscles after
|| || || || || || || || || || || || || || ||
running. you attribute this to: || || || ||
a. hypercalcemia
||
b. hyponatremia
||
c. heat exhaustion
|| ||
d. dehydration - ✔✔b. hyponatremia
|| || || ||
S., age 15, has only one testicle. when he asks you if he can play on the soccer team at school,
|| || || || || || || || || || || || || || || || || || || || ||
how do you respond?|| || ||
a. no, you'd be taking too much of a chance of injuring your remaining testicle
|| || || || || || || || || || || || || ||
b. you can play any noncontact sport; however, soccer is too strenuous
|| || || || || || || || || || ||
c. as long as you can protect the remaining testicle, go for it
|| || || || || || || || || || || ||
, 2
d. it should have no bearing on any activity - ✔✔c. as long as you can protect the remaining
|| || || || || || || || || || || || || || || || || || ||
testicle, go for it || || ||
there are many precursors of deep venous thrombosis (DVT), such as decreased blood flow,
|| || || || || || || || || || || || || ||
injury to the blood vessel wall, and altered blood coagulation. which clinical risk factor for DVT
|| || || || || || || || || || || || || || || ||
is the result of hypercoagulability?
|| || || ||
a. high estrogen states, such as with oral contraceptive
|| || || || || || || ||
b. trauma that results in orthopedic surgery
|| || || || || ||
c. an indwelling intravenous catheter of a lower extremity
|| || || || || || || ||
d. prolonged sedentary position related to immobility - ✔✔a. high estrogen states, such as with
|| || || || || || || || || || || || || || ||
oral contraceptive||
H., age 29 is a nurse who has an acute episode of back pain. you have determined that it is a
|| || || || || || || || || || || || || || || || || || || || ||
simple "mechanical" backache and order: || || || ||
a. bedrest for 2 days
|| || || ||
b. muscle relaxants
|| ||
c. let pain be your guide and continue activities
|| || || || || || || ||
d. back-strengthening exercises - ✔✔c. let pain be your guide and continue activities
|| || || || || || || || || || || ||
D. who is 45 and of norther european ancestry, has a dysfunctional disfiguring condition affecting
|| || || || || || || || || || || || || || ||
the palmar tissue between the skin and the distal palm and fourth and fifth fingers. what do you
|| || || || || || || || || || || || || || || || || ||
suspect?
a. Hallux valgus
|| ||
b. DeQuervain's tenosynovitis
|| ||
c. Dupuytren's contracture
|| ||
d. Hallux rigidus - ✔✔c. Dupuytren's contracture
|| || || || || ||
for your clt with a knee injury, you order an NSAID to be taken on a routine basis for the next 2
|| || || || || || || || || || || || || || || || || || || || || ||
wks. your teaching should include which of the following?
|| || || || || || || ||
a. you may take this medication on an empty stomach as long as you eat within 2-3 hrs of taking it
|| || || || || || || || || || || || || || || || || || || ||
